215301 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 365610 Page 1 of 1
ONE CIVIC SQUARE CORE RESEARCH,INC
CARMEL, INDIANA 46032 PO BOX 45873 CHECK AMOUNT: $80.00
OMAHA NE 68145-0873 CHECK NUMBER: 215301
CHECK DATE: 12/11/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4350900 3465 80 . 00 OTHER CONT SERVICES
Invoice
CORE RESEARCH Invoice Number: 3465
Invoice Date: 2012-11-30
Billing Terms: net 15
Bill To: Remit To:
Carmel Clay Park and Recreation Core Research,Inc.
Phone:317-573-5236 PO Box 45873
Fax:317-573-5254 Omaha, NE 68145-0873
(402)502-0579
angie@coreresearchinc.com
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2012-11-14
........................... ............... ....... .......................... ....
2012-11-14 Monon Monon Community Center Monon Center Day Pass Visit 80.00 USD
Carmel IN 46032 Survey ID:41249
Purchase Expense 0.00 USD
Survey Subotal: 80.00 USD
�• _: -.Summaryafor20i2=11=14=-'' 1 `record;=r= j " „ W. gr. . Sulilotal: _`. 80.00'USD
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NOV 2 8 2012
Purchase
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Purchaser Date
Approval Data
Page 1 of 1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
365610 Core Research, Inc. Terms
P.O. Box 45873
Omaha, NE 68145-0873
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
11/30/12 3465 Mystery shopper program 31070 $ 80.00
Total $ 80.00
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
120
Clerk-Treasurer
Voucher No. Warrant No.
365610 Core Research, Inc. Allowed 20
P.O. Box 45873
Omaha, NE 68145-0873
In Sum of$
$ 80.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1091 3465 4350900 $ 80.00 1 hereby certify that the attached invoice(s), or
bill(s) is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
6-Dec 2012
Signature
$ 80.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund